Cardiac arrest following inhalation induction of anaesthesia in a child with Duchenne's muscular dystrophy.
نویسندگان
چکیده
Cardiac arrest occurred in a 5 1/2-year-old child with suspected Duchenne's muscular dystrophy ten minutes following induction of anaesthesia with halothane, nitrous oxide and oxygen. No muscle relaxants were administered. The cardiac arrest was associated with hyperkalaemia, acidosis, myoglobinuria, elevated serum creatine phosphokinase and a 1.6 degrees C rise in temperature. The child made a complete recovery after receiving 90 minutes of cardiopulmonary resuscitation.
منابع مشابه
Suxamethonium associated hypertonicity and cardiac arrest in unsuspected pseudohypertrophic muscular dystrophy.
In 1971 a patient with suxamethonium-induced cardiac arrest in an unsuspected case of pseudohypertrophic muscular dystrophy was described (Genever, 1971). Suxamethonium has been implicated in several cases of muscular rigidity, hyperkalaemia and cardiac arrest and in malignant hyperpyrexia, and there is evidence that these reactions occur often when there are pre-existing muscular disorders inc...
متن کاملSuxamethonium-induced cardiac arrest as an initial manifestation of Duchenne muscular dystrophy.
prolapse and prolonged Q-T interval. Can. Anaesth. Soc. J., 26, 424. Medak, R., and Benumof, J. L. (1983). Perioperative management of the prolonged Q-T interval syndrome. Br. J. Anaesth., 55, 361. Orwitz, S., Pratilas, V., Pratila, M. G., and Dimich, I. (1979). Anaesthetic considerations in the prolonged Q-T interval syndrome (LQTS): A case report. Can. Anaesth. Soc.J., 26, 50. Wig, J., Bali, ...
متن کاملFrequency of cerebral infarction in patients with inherited neuromuscular diseases.
We evaluated the frequency of cerebral infarction in 131 patients with Duchenne's muscular dystrophy, myotonic dystrophy, Becker's muscular dystrophy, or Friedreich's ataxia. Electrocardiographic abnormalities were found in 83% of patients with Duchenne's muscular dystrophy, 56% with myotonic dystrophy, 50% with Becker's muscular dystrophy, and 25% with Friedreich's ataxia. Atrial flutter occur...
متن کاملThe prognostic value of pre-operative predicted forced vital capacity in corrective spinal surgery for Duchenne's muscular dystrophy.
The majority of patients with Duchenne's muscular dystrophy require corrective spinal surgery for scoliosis to maintain seated balance and to slow the progression of respiratory compromise, thereby facilitating nursing and enhancing their quality of life. Traditionally patients with a pre-operative forced vital capacity (PFVC) of 30% or below predicted have been denied this surgery as it was th...
متن کاملMalignant hyperthermia-like episode in Becker muscular dystrophy.
HYPERKALEMIA and rhabdomyolysis after the use of succinylcholine and potent inhalation anesthetic agents has been reported in patients with Duchenne (DMD) and Becker muscular dystrophy (BMD). In addition, some patients with DMD are susceptible to malignant hyperthermia (MH) based on positive results of in vitro the halothane–caffeine contracture test (IVCT). We report an unusual case of hyperka...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Canadian Anaesthetists' Society journal
دوره 33 6 شماره
صفحات -
تاریخ انتشار 1986